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Contact Information

ENT & SLEEP MEDICINE ASSOCIATES LLC
1000 ELEVEN S STE 4F
COLUMBIA, IL62236-1080
 Phone: 618-628-0715
 Fax: 888-371-4468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ENT SLEEP MEDICINE ASSOCIATES LLC · (Female)

NPI # 1376853994
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2010
Last updated 11/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036101869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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